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Fibrosis leads to tissue scarring that can impair organ function in many chronic diseases, including pulmonary fibrosis, liver cirrhosis, and systemic sclerosis, but also in musculoskeletal diseases, such as RA and, more importantly, OA (86, 87)

Important to remember that a vegetarian or a vegan can also have additional B12 deficiency issues such as pernicious anaemia, functional B12 deficiency or small intestine bacterial overgrowth (SIBO)

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32 LOLA is available and used routinely for management of HE in Europe